| NPI | 1518007640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ERNEST BURT President 703-899-3290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810001508) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-02-29 |