| NPI | 1972721215 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KATRINA LOUISE CARTER Executive Director 202-419-9020  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC3000826)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 13225)  | 
| Enumeration Date | 2007-04-23 | 
| Last Update Date | 2020-08-22 |