NPI | 1104676352 |
---|---|
Entity Type | Organization |
Authorized Contact | JAVON CORY OLIVER Executive Director 202-340-1953 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
163WC0200X Registered Nurse, Critical Care Medicine | |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2024-03-22 |
Last Update Date | 2024-11-27 |