| NPI | 1760978704 |
|---|---|
| Doing Business As | HEARTSWELL |
| Entity Type | Organization |
| Authorized Contact | LUANN C. OLIVER Owner 703-220-0951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007671) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0904007671) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |