| NPI | 1134632375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA SURMITIS Owner/Counselor 703-899-3551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: VA 144728-2017) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |