| NPI | 1699012930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY SPIVACK Owner 703-841-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2023-11-15 |