| NPI | 1821751637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYRA MILAGROS ROSATO COO, Co Owner 703-862-3762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-22 |