| NPI | 1932389723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEE KIMBALL Owner 202-452-6257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: DC PSYC826) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |