| NPI | 1639714157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH PRISCILA JALDIN CEO 703-200-6260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
| 163WH0200X Registered Nurse Home Health | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2023-02-02 |