| NPI | 1497984892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK GENTILE President 703-858-7838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003403) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810003656) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904004863) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101231051) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101241532) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |