| NPI | 1285255927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN FLYNN Owner 703-261-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |