| NPI | 1285392837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAH FLEITMAN Co Owner 703-732-6441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2022-10-14 |