| NPI | 1255724936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS MILLER PALOMBI Family Therapist 703-435-7686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0717000212) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0701001061) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: DC PRC13615) | |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |