| 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 | 261QM0850X Clinic/Center, Adult Mental Health |
| 251B00000X Case Management | |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2026-05-28 |