| NPI | 1811441033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE REGINA JACKSON CEO 703-502-9012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: VA HCO-171315) |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 1041C0700X Social Worker, Clinical | |
| 101Y00000X Counselor | |
| 101YP2500X Counselor, Professional | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-11-21 |