| NPI | 1699546549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLSON NKEMNKENG Provider 202-674-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |