| NPI | 1427662550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA BINDRIM Owner 571-284-8469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2020-10-26 |