| NPI | 1902342934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN WOOTEN Executive Director 703-792-7894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904000578) |
| Enumeration Date | 2017-01-14 |
| Last Update Date | 2017-01-14 |