| NPI | 1881156123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIINA STEPHENSON Owner 703-260-9621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2021-06-01 |