NPI | 1275100554 |
---|---|
Entity Type | Organization |
Authorized Contact | JIMMY IBIKUNLE CEO 202-765-3131 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101Y00000X Counselor |
101YP1600X Counselor, Pastoral | |
101YP2500X Counselor, Professional | |
103G00000X Clinical Neuropsychologist | |
103T00000X Psychologist | |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC0700X Psychologist, Clinical | |
103TF0200X Psychologist, Forensic | |
103TP2701X Psychologist, Group Psychotherapy | |
1041C0700X Social Worker, Clinical | |
1041S0200X Social Worker, School | |
106H00000X Marriage & Family Therapist | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
Enumeration Date | 2021-06-07 |
Last Update Date | 2021-06-07 |