| NPI | 1922823699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMPEST LANGLEY Administrator 571-244-2673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-12-23 |