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 |