| NPI | 1053082909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE PATRICE CRAWFORD CEO/President/Psychotherapist 571-539-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-11-20 |