| NPI | 1104542349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA MACKALL LAL Owner And Lpc 703-409-0942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |