NPI | 1457095663 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM HALBACK Owner/Lcsw C 202-290-8335 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2022-04-24 |
Last Update Date | 2022-04-24 |