| NPI | 1699806026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN S. SHEEHAN Administrator 703-841-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-06-17 |