NPI | 1316143712 |
---|---|
Entity Type | Organization |
Authorized Contact | VIRGINIA INGLESE Owner President 703-255-7012 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904004788) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: VA D00774) |
Enumeration Date | 2007-06-22 |
Last Update Date | 2016-09-16 |