| NPI | 1578904702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE VAZZANA Partner 703-665-0949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2019-06-04 |