| NPI | 1235601584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BENNER Chief Operating Officer 703-822-5336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2020-11-23 |