| NPI | 1194275172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENEDICT B FORETIA CEO 202-836-4841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 251S00000X Community/Behavioral Health | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2025-11-17 |