| NPI | 1427802560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA P COAN CEO 703-721-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-08-12 |