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 |