| NPI | 1760582340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA LEE TIEVSKY Director 703-715-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904001786) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2010-04-14 |