| NPI | 1467983171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON HEATON Psychologist 703-304-8464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 04297) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |