| NPI | 1720145949 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | EMMANUEL OLARINDE Director 202-737-6000 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist | 
| Additional Taxonomies | 101YS0200X Counselor, School | 
| 103G00000X Clinical Neuropsychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2007-01-03 | 
| Last Update Date | 2025-09-11 |