| NPI | 1851517163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLEY ELAINE BOOTHE-MOORING President 703-754-0636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005909) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-01-19 |