| NPI | 1801422829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGGETTA HOWIE Owner 571-265-6297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TP2701X Psychologist Group Psychotherapy | |
| 1041C0700X Social Worker Clinical | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2020-03-21 |