Behavioral Health and Social Service (1346)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Behavioral Health and Social Service
CLASSIFICATION Psychoanalyst
STATUS Inactive
DATE INACTIVATED 2018-04-02 00:00:00
VA CODE V010300
X12 CODE 103S00000N
MASTER ENTRY FOR VUID YES
VUID 5252411
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:42
    STATUS:   INACTIVE