| NPI | 1689325508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAH MURRAY Executive Director 202-607-3859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |