| NPI | 1255666145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER J FUENTES Founder And Clinician 540-455-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DC PRC13849) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |