| NPI | 1023879343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERVIN CARLIE OWENS CEO 202-341-0667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |