| NPI | 1407334816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS AMIBANG TANUE CEO 202-723-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DC 060117-312) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |