| NPI | 1962387225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLEEN DIMEGLIO Owner 703-517-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-08-06 |