| NPI | 1447653688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDA JARAMILLO Owner 202-330-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC3662) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |