| NPI | 1649761255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA THORNE Owner 202-236-7543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 23008) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |