NPI | 1447556600 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHAEL SHPAK Clinical Director 202-525-4855 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2011-02-07 |
Last Update Date | 2023-07-18 |