| NPI | 1780824243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANTON E. SAMENOW President 703-931-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA VA. LIC. #621) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |