| NPI | 1184179087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA TETTEH Organizer 202-294-1248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C010048) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2020-11-24 |