| NPI | 1255814125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE LANCASTER Executive Director 202-239-5563 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-12-10 |