| NPI | 1003315391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA JEAN FLYNN Principle 703-508-3565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007725) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |