| NPI | 1356772339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA WELSH President/CEO 703-680-5127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1206-01-001) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: VA 1206-02-006) |
| 251S00000X Community/Behavioral Health (Licence: VA 1206-02-010) | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2022-11-09 |