| NPI | 1639281231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH K EVANS CEO 703-817-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003512) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 904002080) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904006815) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904007372) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0904008453) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-05-23 |