| NPI | 1639419054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLLAS RAYFIELD Clinical Director 202-525-4855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2023-08-23 |