| NPI | 1922431089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MITCHELL VEDDER CFO 703-844-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 3410049) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2023-01-11 |