| NPI | 1730955618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BINETTE FORZONG FONGE President 202-390-7313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-12-02 |