| NPI | 1336431006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE STATON Clinical Manager 202-581-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: DC PRC 236) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: DC PRC 236) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |