| NPI | 1720499288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA DEVINENI Clinical Social Worker 202-810-5786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079309) |
| Enumeration Date | 2014-05-17 |
| Last Update Date | 2014-05-17 |