| NPI | 1861272544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVON COOK CEO 202-873-0398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 385H00000X Respite Care |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-05 |