| NPI | 1184714396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER PASTERNAK Owner 540-899-9826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |