| NPI | 1811861404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE LUCKETT-EPPS Owner/Provider 202-759-4214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-06 |