| NPI | 1649667908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMETT BURKE Executive Director 703-209-6217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2346) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |