NPI | 1003552498 |
---|---|
Entity Type | Organization |
Authorized Contact | SHONNELL HAM Owner 301-778-8835 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-05-09 |
Last Update Date | 2022-05-09 |