| NPI | 1952670762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE DAVID ANGELICH Clinical Psychologist 202-494-6722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: DC PSY1000493) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |