NPI | 1437714862 |
---|---|
Entity Type | Organization |
Authorized Contact | DESYREE ALLISON DIXON Therapist 703-587-6738 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2019-05-01 |
Last Update Date | 2019-05-01 |