| NPI | 1003324864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WESLEY JONES CEO 202-878-6626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: DC 121217-383) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC 121217-383) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2022-12-14 |