| NPI | 1417380767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY T MOORE Executive Director 202-494-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC4811) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |