| NPI | 1669832135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALDEZ D MUMFORD CEO 202-904-1809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| 103TC1900X Psychologist Counseling | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 251E00000X Home Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2022-04-06 |