| NPI | 1124793047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DAVIS Executive Director 202-909-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-08-12 |