| NPI | 1306576699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY BRESSETTE Owner/Chief 703-469-9301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling | |
| 103TE1100X Psychologist, Exercise & Sports | |
| 103TH0004X Psychologist, Health | |
| 111N00000X Chiropractor | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-06-10 |