| NPI | 1174347488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY MORRIS Credentialing And Billing Provider 202-314-2702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |