| NPI | 1790926426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KINKEAD-ACREE President 703-992-6537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0101244394) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2014-10-23 |