| NPI | 1114308384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY NATHANIEL JENKINS Clinical Director 202-546-0981 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: DC MD10781) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: DC DO034414) |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2015-06-14 |