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 |