| NPI | 1922756022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE-MARIE D PHILLIPS CEO 202-415-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-03-17 |