| NPI | 1528426293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK BRIAN PHILLIPS President 202-349-7663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY 1060) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC301232) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-04-12 |