| NPI | 1689018368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMETHA O LEWIS-JACK Chief Clinical Director 202-629-2964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1835) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: DC PSY1835) |
| 103TP0814X Psychologist, Psychoanalysis (Licence: DC PSY1835) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: DC PSY1835) | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |