| NPI | 1134625098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PINEAU Clinical Psychologist 202-670-9636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DC PSY1001071) |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2018-03-31 |