| NPI | 1831569896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M JOHNSON Partner/Operations Officer 703-424-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904006279) |
| Enumeration Date | 2015-10-03 |
| Last Update Date | 2016-02-04 |