| NPI | 1396135778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI LEWIS Hr Supervisor 202-543-0387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DC PRC14437) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |