| NPI | 1083062467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS HUMMINGS Owner 202-596-2258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000822) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810004927) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |