| NPI | 1033763214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERIESHA JANELL HODGE CEO/Therapist 202-531-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 103TC1900X Psychologist Counseling | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist Clinical | |
| 101Y00000X Counselor | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |