| NPI | 1811418858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NECOLE DANIELLE MARTINEZ President 202-507-3713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MD lc6007) |
| Additional Taxonomies | 251B00000X Case Management (Licence: MD lc6007) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD lc6007) | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-21 |