| NPI | 1194275172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENEDICT B FORETIA CEO 202-836-4841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2023-12-07 |