| NPI | 1689124208 |
|---|---|
| Doing Business As | FREEFORM |
| Entity Type | Organization |
| Authorized Contact | FREEDOM SADIQ DOWDY Owner/Operator 202-510-4192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14292) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DC PRC14292) |
| 101YM0800X Counselor, Mental Health (Licence: DC PRC14292) | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |