| NPI | 1255840138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORISIA WALLACE Clinical Administrator 202-854-9628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC303590) |
| Enumeration Date | 2017-09-23 |
| Last Update Date | 2022-07-21 |