| NPI | 1255115481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY RUSHING Owner/Clinical Director 703-728-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |