| NPI | 1710470711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J SULLIVAN Clinical Social Worker 202-264-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079401) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2024-03-07 |