| NPI | 1639711054 |
|---|---|
| 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 |