| NPI | 1366317901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANH-LINH FLYNN CFO 703-261-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-13 |