| NPI | 1548657554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER A ATEMNKENG Administrator 703-205-2412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: DC CM PROVIDER) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2023-03-01 |