| NPI | 1023880838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI JORDAN Mental Health Therapist/ Manager 202-913-5721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2024-05-17 |