| NPI | 1316712854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DAVILA Owner 703-932-9964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2024-07-09 |