| NPI | 1184907537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA N HAYWARD Psychotherpist 703-232-0874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0904007729) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: VA 0904007729) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |