| NPI | 1790265783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY BELKNAP Owner 703-919-2691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: SC 12489) |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2018-08-19 |