| NPI | 1285970715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA DIANA COLLINS Owner 301-221-5145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005325) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |