| NPI | 1841779782 |
|---|---|
| Doing Business As | PRIVATE PRACTICE |
| Entity Type | Organization |
| Authorized Contact | AURELIO OGILVIE Owner 202-552-1741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: DC PSY1001264) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2023-08-29 |