NPI | 1972134849 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT FRASIER Owner 202-230-2374 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2020-01-30 |
Last Update Date | 2020-01-30 |