NPI | 1003496530 |
---|---|
Other Name | AWESOME THOUGHTS, LLC PRP |
Entity Type | Organization |
Authorized Contact | MONICA BANKS GREENE Owner 240-297-9940 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2021-04-09 |
Last Update Date | 2021-04-09 |