| NPI | 1023835998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIKATA KHYNE-SAM Administrator 703-407-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |