| NPI | 1407872575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CULLINAN Chief Administrative Officer 202-528-7116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-08-07 |