| NPI | 1104676352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVON CORY OLIVER CEO 202-340-1953 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 163WC0200X Registered Nurse, Critical Care Medicine | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2025-10-08 |