| NPI | 1639205560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE BRUZZO Regional Director 202-737-2554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DC CPA-041) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2011-01-31 |