NPI | 1437513413 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI WILLIAMSON-CARRICK Owner/Clinical Director 703-489-3561 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004813) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2016-04-06 |