NPI | 1083284772 |
---|---|
Entity Type | Organization |
Authorized Contact | IVY GILMORE Director 202-751-8579 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-06-25 |
Last Update Date | 2021-06-25 |