| NPI | 1760838874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURT B GRENELL Clinical Psychologist 202-337-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DC PSY1552) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |