| NPI | 1679533459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MICHELLE MACKE CEO/CFO 703-658-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 22705001) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-08-22 |