| NPI | 1063268381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RILEY Director Of Clinical Services 703-559-0527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-04-26 |