| NPI | 1568714624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY ROJAS Compliance And Data Coordinator 703-941-8810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 1647) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |