| NPI | 1720145949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL OLARINDE Director 202-737-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YS0200X Counselor School |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |