| NPI | 1104328335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L MCMICHAEL Council Chair 703-903-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-03-04 |
| Last Update Date | 2018-03-04 |