| NPI | 1972981090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENIE MBOUTCHOCK KABIWA CEO 301-442-5796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2407) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |