| NPI | 1366290652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNA ECTOR Clinical Psychologist 202-235-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |