| NPI | 1700757887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKEY MICHELLE WILCHER Director/Owner 202-431-0256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 175T00000X Peer Specialist | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2025-09-13 |
| Last Update Date | 2025-09-15 |