NPI | 1770726051 |
---|---|
Entity Type | Organization |
Authorized Contact | SHALANDA FAYE WEEMS Owner 703-530-8055 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006949) |
Enumeration Date | 2009-04-15 |
Last Update Date | 2024-09-17 |