| NPI | 1396279824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN NICKLESON BATTLE Chief Operating Officer 703-225-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2024-05-01 |