| NPI | 1588527519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINE ANTOINETTE KADJI TEDJEU Owner 703-785-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-12-05 |
| Last Update Date | 2025-12-05 |