| NPI | 1134636475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MANLEY Executive Director 202-821-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2019-03-13 |