| NPI | 1942967781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA J OTCHERE Owner/Clinician 703-622-1812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2024-06-03 |