| NPI | 1427492560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMETHA OONA LEWIS-JACK Chief Clinical Director 301-275-6615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1835) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |