| NPI | 1760723423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ROSS Director 703-577-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005550) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |