NPI | 1669852026 |
---|---|
Entity Type | Organization |
Authorized Contact | RACQUEL SEMERARO Owner 703-862-3762 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008497) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710101724) |
Enumeration Date | 2015-06-01 |
Last Update Date | 2015-06-01 |