| NPI | 1700264033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN MAYE Director 202-210-5891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X (Licence: DC 115023) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 251B00000X Case Management | |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2021-06-18 |