| NPI | 1306269725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA D. OWENS Mental Health Therapist 703-474-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0904002653) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |