| NPI | 1982425195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANH-LINH FLYNN Chief Operating Officer 703-395-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |