| NPI | 1639354921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BART MATTHEW BUKAS Owner 703-534-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701002910) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |