| NPI | 1396591194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BURTON Chief Operation Officer 202-345-7099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-06-20 |