| NPI | 1144056045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASEEM HUSSAIN Account Manager 703-202-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2025-09-24 |