NPI | 1780347229 |
---|---|
Entity Type | Organization |
Authorized Contact | ALMAZ ASSEFAW President 703-589-8631 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-10-21 |
Last Update Date | 2022-11-29 |