| NPI | 1104429893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KAMYA President 202-215-5348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |