| NPI | 1740902501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SELINA BOWIE CFO 202-294-5559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251S00000X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-16 |