| NPI | 1639455272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL BARRANZUELA KIRK Owner 703-231-7991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 070100473) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |