| NPI | 1033649322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT KOENIGSBERG Owner 703-932-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003223) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2019-05-31 |