| NPI | 1164313920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSEYN PASHA Owner 571-663-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QV0200X Clinic/Center VA |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |