| NPI | 1437390663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARROLL L PARKS CEO 202-574-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2011-04-05 |