| NPI | 1831264738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CATHERINE SPOONER Director 703-909-8963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003525) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |