| NPI | 1851503361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA G. ROWE President 703-293-9231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0701002156) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0717000262) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-06-16 |