| NPI | 1083959456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JO CARR Director 703-897-8970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904001689) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |