| NPI | 1770640237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS KEVIN FAHEY Vice President Admin & Finance 703-837-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003016) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2014-08-07 |