| NPI | 1376161513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA THERESA GETHA Licensed Clinical Social Worker 571-206-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2023-12-06 |