| 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 |