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 |