| NPI | 1356881908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARNET NELSON Director 703-340-8936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007067) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical (Licence: MD 14604) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |