| NPI | 1174203053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNDAY ORATOKHAI Principal 202-407-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 251B00000X Case Management | |
| 101YM0800X Counselor, Mental Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 363L00000X Nurse Practitioner | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2025-11-15 |