| NPI | 1942636295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH F SMITH Owner 540-772-8043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: VA 0101043204) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |