| NPI | 1740026947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA FABULUJE President/CEO 202-717-2541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-25 |