| NPI | 1497808679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK LEICHTWEIS Senior Director 703-218-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: VA 033) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-02-07 |