| NPI | 1710363924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE R KEYSER Clinical Psychologist 703-517-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: VA 0810005196) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: VA 0810005196) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |