| NPI | 1760934863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYRA HOLLAND Owner 202-780-7359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |