| NPI | 1487908943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEE PELTON Clinical Psychologist 703-343-0849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0810004219) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |