| NPI | 1891209763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORSCHA JEANNINE BAKER CEO 202-431-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 2820) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009100) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-12-05 |