NPI | 1528740628 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID NICHOLAS Revenue Cycle Director 703-825-8762 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2023-08-07 |
Last Update Date | 2024-06-07 |