| NPI | 1639763766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KAMYA President 202-215-5348 |
| 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) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2022-12-01 |