| NPI | 1235561846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAILAH C. COOK Executive Director 703-368-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007938) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |