| NPI | 1700655818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINUKE DAVIS Medical Director 202-460-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2023-12-29 |