| NPI | 1174254080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE T SLOMSKI Licensed Clinical Social Worker 571-206-8102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2022-12-15 |