| NPI | 1780179275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RENETT BURTON Program Director 202-345-7099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15283) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |