| NPI | 1164933602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOJI ANDREW WATSON Owner/Psychologist 571-384-6304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0810004960) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2018-03-29 |