| NPI | 1235611328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINCOLN LIBURD Chair Of The Board Of Directors 571-436-2717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |