| NPI | 1073200127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY DAVIS Lead Consultant 202-670-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-05-23 |