| NPI | 1609211002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY HURLEY VP Admin, CFO 703-842-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 5051 MH-719) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2018-01-09 |