| NPI | 1831442110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASPERTINE ANNTIONELLE HAWKINS CEO 202-531-6736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist, Counseling | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |