| NPI | 1972033991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA COLVIN Owner 202-425-6345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |