| 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 |