| NPI | 1669983128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANDREWS Vice President 703-787-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |