| NPI | 1346614690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA KARINA PORTO Owner 703-470-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0701006220) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |