| NPI | 1578653721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES L. GOULD Program Manager For Substance Abuse 202-762-3016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: KS LMSW 3927) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-07-17 |