| NPI | 1336752781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANE ST PAUL Director 202-660-1460 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-09-29 |