| NPI | 1285955021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE P BOOMER President 703-255-2208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003838) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |