| NPI | 1003746256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ANDRUKONIS NYLUND Owner 703-336-2078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-05-20 |
| Last Update Date | 2026-05-20 |