| NPI | 1508255050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EDWARD REA Owner 202-802-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: MD 14632) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |