| NPI | 1275903700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROD WILLIAMS COO 202-450-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: DC MD13456) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: DC LG100230) | |
| Enumeration Date | 2015-09-27 |
| Last Update Date | 2023-02-14 |