| NPI | 1003673617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXA BLAIR LISS CEO 301-983-5130 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |