| NPI | 1881995611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAY MARSHALL LESANE Clinical Director 703-221-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003313) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |