| NPI | 1669789780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIO MARTIN RODRIGUEZ COO 703-822-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1423-05-001) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |