| NPI | 1770306045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA CHOKOTE Provider 202-315-8584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |