| NPI | 1265494207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA GABA Acting Executive Director 703-533-3302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 108) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2007-12-20 |