| NPI | 1285776641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYLY A. COLECCHI President 703-751-0255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 0810001981) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2013-05-03 |