| NPI | 1578998563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH SALCEDO Owner 202-363-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: DC 261135371) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |