| NPI | 1750694634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH D GAMBLES Managing Partner 571-499-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000622) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |