| NPI | 1487181921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL JOSEPH CEO 202-617-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MD LC6912) |
| Additional Taxonomies | 251B00000X Case Management (Licence: 4211379) |
| 251S00000X (Licence: VA 0701006872) | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2018-06-16 |