| NPI | 1619585817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ERIN HAMED-MOORE Owner/Therapist 540-598-9532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |