| NPI | 1427727429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ELIZABETH DUSHENKO Sole Owner 703-672-3960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-09-21 |