| NPI | 1356722805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE RIDINGER MAROSEK Clincial Social Worker 202-296-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: DC LC 003-01-102) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |