| NPI | 1366806184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA C CAMPBELL Social Worker 202-431-1682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080073) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC 200-1064) |
| 101YP2500X Counselor, Professional (Licence: DC PRC293) | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-10-18 |