| NPI | 1962628883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONRAD H DAUM President 540-982-5603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101023841) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |