NPI | 1265270169 |
---|---|
Entity Type | Organization |
Authorized Contact | LAKEITH BARRY SUTTON Co Founder 202-643-3592 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
103T00000X Psychologist | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2024-07-16 |
Last Update Date | 2024-07-16 |