| NPI | 1275080772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAMJ BERNARD ZUCKERMAN Clinical Psychologist 703-764-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0810001150) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |