| 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 Service | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2020-01-30 |