| NPI | 1003273954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONYA JORDAN Managing Partner 703-565-6278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE 169824091) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2024-06-17 |