| NPI | 1588420764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA SOMO Administrator 703-594-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2025-03-06 |