| NPI | 1710455787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN IBRONKE PARKS Owner/Provider 703-638-4913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |