| NPI | 1104075704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L ZABROWSKI SVP/CFO 703-558-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: VA H1912) |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2022-05-27 |