| NPI | 1497269302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA B MATTHEWS CEO/Owner 703-957-8975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004743) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2024-03-26 |