| NPI | 1396075685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN SMITH Director 703-232-9691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 0-07-2281) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |