| NPI | 1417320797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SMITH Program Director 703-232-9691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0134000133) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |