| NPI | 1588994719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE DURKIN Owner 703-777-2144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0904002380) |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-01-11 |