| NPI | 1780288340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KAMYA President 202-215-5348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-11-24 |