| NPI | 1164293114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODILE DE LA CRUZ Chief Director/Owner 703-586-8434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |