| NPI | 1861252538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASPEN DECKER CEO 202-681-1274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |