| NPI | 1568595171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY J SAMBA CEO 202-610-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DC 036003900) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2018-07-10 |