| NPI | 1841790961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ALICE BARRETT Licensed Clincal Psychologist 571-488-9840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0810004667) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |