| NPI | 1558953844 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOHN KAMYA President 202-215-5348  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Additional Taxonomies | 251B00000X Case Management | 
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2021-02-08 | 
| Last Update Date | 2021-02-08 |