| NPI | 1417469974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOANG OANH RODGERS Owner 703-409-6258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717000800) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710000893) |
| 101YP2500X Counselor, Professional (Licence: VA 0701002418) | |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |