| NPI | 1457101693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVON CORY OLIVER Executive Director 202-340-1953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| 163WC0200X Registered Nurse Critical Care Medicine | |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2025-03-28 |