| NPI | 1851200794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTON FON Operations Officer 202-848-6894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 163WP0000X Registered Nurse, Pain Management | |
| 163WW0000X Registered Nurse, Wound Care | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2026-09-04 |
| Last Update Date | 2026-09-04 |