| NPI | 1134525538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA INGLESE Owner 703-255-7012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0904004788) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |