| NPI | 1275046963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LUSE Owner 202-607-2497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |