| NPI | 1922858794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA MARINO CEO 571-477-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2026-07-13 |