| NPI | 1710718317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKQUES MCKNIGHT Practice Administrator 202-805-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2025-03-24 |