NPI | 1588309421 |
---|---|
Other Name | PATRICIA MCCARTHY BRODERICK |
Entity Type | Organization |
Authorized Contact | PATRICIA MCCARTHY BRODERICK Sole Member 703-608-8287 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP1600X Counselor, Pastoral |
Enumeration Date | 2022-05-04 |
Last Update Date | 2022-05-04 |