NPI | 1174246466 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIE CLAIRE RODERICK Clinical Psychologist 571-234-8106 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2022-09-21 |
Last Update Date | 2022-10-17 |