| NPI | 1790140747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECCA CHODOS Therapist 703-201-7519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 009272) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2016-04-19 |