| NPI | 1700580461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R. THOMAS Owner 703-665-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |