| NPI | 1902349335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE THOMAS CEO 202-460-6876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 225500000X Specialist/Technologist |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2018-01-15 |