| NPI | 1518823350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL WAYNE DRURY Owner/Psychotherapist 571-412-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-12-24 |
| Last Update Date | 2025-12-27 |