| NPI | 1871288696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY FORLU Director 202-853-8109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2024-10-17 |