| NPI | 1295969822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MICHAEL LOMAS Clinical Director 202-349-5860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000526) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC13716) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-06-23 |