| NPI | 1114734027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA CABRERA Executive Director 202-991-1631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2025-03-26 |