| NPI | 1891665519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIARRA TIARRA FAIN Owner/Operations Director 202-948-6125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-07 |