| NPI | 1609224377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANI BONITA BOYKIN Founder / Clinical Director 202-744-1393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: DC 400314001529) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |