| NPI | 1417333923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYNNAN REDDY Owner 571-388-8842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701005819) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |