| NPI | 1205229333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA VERGNETTI CEO 703-937-7169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: VA 1515) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: VA 49D2044687) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |