| 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 |