| NPI | 1780447722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMATOU ISMAILA President 202-256-8542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 261QC1500X Clinic/Center, Community Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2025-01-14 |