| NPI | 1023812542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WOLF Business Manager 202-891-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |