Organization
CENTER FOR WELLNESS & CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIK WILLIAM GUNDERSON M.D. (PRESIDENT)
(434) 202-8612
Entity
Organization
Contact information
Practice address
1007 E HIGH ST, CHARLOTTESVILLE, VA 22902-4841
(434) 202-8612
(434) 321-5181
Mailing address
1007 E HIGH ST, CHARLOTTESVILLE, VA 22902-4841
(434) 202-8612
(434) 321-5181
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101244180
VA
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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