| NPI | 1891242624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FREDERICK LAMP Owner 703-462-8644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701004499) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |