| NPI | 1013862093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDYCEE GAMBLE Owner 202-423-1593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-03-04 |
| Last Update Date | 2026-03-04 |