| NPI | 1063022317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J PIPPIN President 703-309-7417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |