| NPI | 1982035994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY REALS Outpatient Operations Manager 202-819-5000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2022-03-23 |