| NPI | 1295512697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYRA ROSATO Counselor 703-216-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-03-19 |