| NPI | 1942218565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY HURLEY VP Admin, CFO 703-842-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006376) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-01-09 |