| NPI | 1679849723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD FEDERICI Owner/Clinical Psychologist 703-830-6052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: VA 0810001534) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |