| NPI | 1366073306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA E ROCK Owner 571-636-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2026-06-11 |