| NPI | 1619732450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLARD H MEEKS Program Director 202-774-2059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |