| NPI | 1740676667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLETON HENRY Director Business Operations 202-722-1398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |