| NPI | 1720217508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GOLDER Owner 202-379-4650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: DC 21471) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |