NPI | 1952659989 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN FITZSIMMONS President 540-663-0574 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003741) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101050361) |
Enumeration Date | 2012-08-23 |
Last Update Date | 2012-08-23 |