| NPI | 1003275660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN BEAREGARD Director 703-244-6298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DC LGPC00042) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |