| NPI | 1689238842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN DELORES MAYE Director 202-232-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2020-12-11 |