| NPI | 1649541855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN DENLINGER President 703-919-3905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0904006827) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |