| NPI | 1831636364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE IRENE NYBLADE Owner 202-487-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13961) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 18412) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |