NPI | 1396233730 |
---|---|
Entity Type | Organization |
Authorized Contact | JETTIE NORFLEET Owner/ Clinician 202-230-4554 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006947) |
Enumeration Date | 2018-04-30 |
Last Update Date | 2024-11-11 |