| NPI | 1902924061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL F. BAKER Counselor 703-219-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 09400532) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |