| NPI | 1295214112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JOY RZENGOTA Owner 703-397-3124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0701007802) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-09-22 |