| NPI | 1508218199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL SIEGEL Executive Director 202-669-6417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP5845) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |