| NPI | 1710687967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MITCHELL VEDDER CFO 703-844-1007 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-07 |