| NPI | 1538408364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEGUNDA YANEX ACOSTA President 703-392-6410 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0015000200) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0015000200) |
| 163WP0000X Registered Nurse, Pain Management (Licence: VA 0015000200) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: VA 0015000200) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: VA 0015000200) | |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |