| NPI | 1396058640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE DODSON Behavioral Analyst 703-283-3502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 000-08-1980) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |