| NPI | 1760962070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN MCCANN Managing Member 703-554-5394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0701007817) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |