NPI | 1295374478 |
---|---|
Doing Business As | PRIDE THERAPY DC |
Other Name | MICHAEL MANCILLA LICSW |
Doing Business As | MICHAEL MANCILLA LICSW |
Entity Type | Organization |
Authorized Contact | MICHAEL A MANCILLA Therapist/Owner 202-234-2299 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2020-01-05 |
Last Update Date | 2020-01-05 |