| NPI | 1376660233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIETTA WARDEN President 703-750-1292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 149) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 149) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2007-08-01 |