| NPI | 1669560470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE VILLENEUVE C.E.O. 703-858-9841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810003678) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101036149) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |