NPI | 1437628914 |
---|---|
Entity Type | Organization |
Authorized Contact | LUC HONORE PETNJI YAYA CEO 202-827-9961 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
103TA0400X Psychologist Addiction (Substance Use Disorder) | |
163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
Enumeration Date | 2018-11-14 |
Last Update Date | 2024-01-24 |