| NPI | 1205357589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA VAN SANT Owner 202-899-8864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2018-06-25 |