| NPI | 1801361027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN SHEEHAN Administrator 703-841-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0005X Psychiatry & Neurology Neurodevelopmental Disabilities |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |