| NPI | 1437296571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORLIS YVONNE RANDOLPH Administrator 202-397-5042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DC LC301584) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |