| NPI | 1891311718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASHA BERGERON Co Founder 202-213-4829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-18 |