| NPI | 1346737079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIA HEIDIANN CHARLES Clinical Social Worker 202-618-0754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-10-01 |