| NPI | 1316118292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI PEREZ Controller 703-636-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2019-02-26 |