| NPI | 1619150091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLANA TAYLOR Lincensed Clinical Social Worker 703-371-0946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 22004) |
| Enumeration Date | 2007-12-09 |
| Last Update Date | 2007-12-09 |