| NPI | 1093250474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY D DAVIS Owner, Mental Health Therapist 202-540-0718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC7042) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |