| NPI | 1720451719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSTON E JOHNSON President/CEO 202-621-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2024-03-04 |