| NPI | 1841470218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S. MARK CROSS President / Owner 703-533-5825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810000982) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |