| NPI | 1982105573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TISA MCKENNA PINKERTON Owner/Therapist 703-957-8761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904009000) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2022-06-30 |