| NPI | 1184149676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL VICTORIA MARTIN Owner 202-503-6429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |