| NPI | 1154356244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL WASHINGTON Executive Director 703-324-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty (Licence: VA 113) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-10-01 |