| NPI | 1295974848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY ELIZABETH CROSTHWAIT CRIMMINS Mental Health Therapist 703-228-4789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 0701004516) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |