| NPI | 1871963991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI YVETTE JOHNSON CEO 703-398-9381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904005349) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2016-01-21 |