NPI | 1295365260 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL MORAD-MCCOY Clinical Director 202-505-1848 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0801X |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2020-01-18 |
Last Update Date | 2022-10-07 |