| NPI | 1861697823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MARIA IZQUIERDO Director 202-939-2412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: MD R096580) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2019-05-13 |