| NPI | 1043145444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL NGANGA Owner 703-470-3514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-06-16 |
| Last Update Date | 2026-07-29 |