| NPI | 1265095210 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROSANE ST PAUL Director 202-660-1460  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 174H00000X Health Educator | 
| Additional Taxonomies | 251B00000X Case Management | 
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-04-16 | 
| Last Update Date | 2020-01-30 |