| NPI | 1740783265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEMIKAH YISRAEL-JOHNSON CEO 202-681-5226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM657) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LCM657) |
| 101YM0800X Counselor Mental Health (Licence: MD LGP7904) | |
| 261QM0850X Clinic/Center Adult Mental Health (Licence: MD LCM657) | |
| Enumeration Date | 2018-03-11 |
| Last Update Date | 2018-03-11 |