| NPI | 1073853271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK MORALES Executive Director 703-906-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NM I-06859) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM i-06859) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |