| NPI | 1275838898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HOWARD BORASH Director 703-492-8939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0701000622) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701000622) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |