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 |