| NPI | 1801588744 |
|---|---|
| Former Legal Business Name | TRIUMPHANT LEADERS OF DMV YOUTH PROGRAM |
| Entity Type | Organization |
| Authorized Contact | KEVIN CANNADAY Chief Executive Officer 202-683-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |