| NPI | 1790120814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE CALABRESE Counseling Manager 703-779-5411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: GA MFT001209) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |