NPI | 1124050513 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY THOMAS KOCH President/Director 703-795-5918 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 507) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2007-11-14 |