NPI | 1558133561 |
---|---|
Entity Type | Organization |
Authorized Contact | ZENABOU IBRAHIM Provider 202-553-1912 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-10-23 |
Last Update Date | 2023-10-23 |