| NPI | 1427544436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY H JOHNSON President 202-813-9452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2022-03-21 |