| NPI | 1932380128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA WILLS Clinical Psychologist 757-422-2408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0810001950) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |