NPI | 1639711054 |
---|---|
Other Name | JORDAN HOUSE |
Doing Business As | JORDAN HOUSE |
Entity Type | Organization |
Authorized Contact | RALPH BOYD President/CEO 202-797-8806 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2019-10-17 |
Last Update Date | 2021-01-14 |