| NPI | 1043613474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER NELSON BAKER Director 703-466-5150 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904005419) |
| 261Q00000X Clinic/Center | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2024-05-01 |