| NPI | 1376048371 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DENIZ EMRE Managing Director 571-354-6398  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701007209)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0701007209)  | 
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 9477)  | |
| 101YM0800X Counselor, Mental Health (Licence: MA 9477)  | |
| Enumeration Date | 2018-03-29 | 
| Last Update Date | 2018-04-09 |