| NPI | 1205868791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY THOMAS KOCH President/Director 703-795-5918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 419) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-11-14 |