| NPI | 1508631862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY CHUNG CEO 703-322-0245 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103TC1900X Psychologist, Counseling | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-28 |