| NPI | 1609255678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SHEAHAN Sole Proprietor 202-413-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DC LC50080431) |
| Enumeration Date | 2015-05-23 |
| Last Update Date | 2024-03-26 |