NPI | 1265835219 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH K. EWELL Licensed Clinical Psychologist 703-322-0701 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: VA 0810002479) |
Enumeration Date | 2014-10-06 |
Last Update Date | 2014-10-06 |