| NPI | 1518388537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FREDERICK LAMP Co Owner 703-888-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701004499) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |