| NPI | 1134535354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC NELSON President 703-919-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 104100000X Social Worker | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |