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 |