| NPI | 1891325601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIERRE A. DIKAHA Owner/Operator 202-313-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |