| NPI | 1275073967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENITA-ANN PATRECE GRYMES CEO 202-749-7432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 405300000X Prevention Professional |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |