| NPI | 1366985541 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SYNTHIA JOHNSON Clinical Director 202-529-9299  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC14854)  | 
| Enumeration Date | 2016-11-21 | 
| Last Update Date | 2016-11-21 |