NPI | 1700485018 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINA TAYLOR Owner 202-716-6113 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2020-10-19 |
Last Update Date | 2020-12-01 |