| NPI | 1255928586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR KIDD Owner 202-701-8922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |