| NPI | 1063107696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN ANTOINETTE THERYON Psychotherapist 202-655-7138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-10 |