| NPI | 1740319854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY BERNADEAU Chief Operating Officer 202-232-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DC 036525600) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: DC 036525600) | |
| 208D00000X General Practice | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: DC 036525600) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2025-09-05 |