| NPI | 1720457807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI JOHNSON CEO/Director 703-398-9381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904005349) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2016-01-21 |