| NPI | 1396935086 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | CAROLYN ELAINE GRAVELY-MOSS,PH.D. Director 202-581-0778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DC LPC-0164) |
| Enumeration Date | 2007-07-28 |
| Last Update Date | 2008-10-02 |