| NPI | 1417569211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KYLE BIVENS Clinical Social Worker / Owner 202-750-1246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2021-04-29 |