| NPI | 1124415534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN DEVALERA Owner 202-210-1299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14847) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC CACII 1254) |
| 101YM0800X Counselor, Mental Health (Licence: DC LGPC00039) | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2022-04-14 |