| NPI | 1962018713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA BAKER Director Of Clinical Operations 202-893-2106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2021-10-04 |