| NPI | 1164551917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLETON HENRY Director Bus. Ops. 202-722-1398 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DC 036391100) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2013-05-09 |