| NPI | 1285429605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON JOVON STUCKEY Administration 202-422-5465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |