| NPI | 1003213695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA BAILEY Program Director/Owner 301-766-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 106494) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2021-08-09 |