| NPI | 1003696238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWAKEMI ADEDAYO AJE Medical Director/CEO 571-409-1517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-05 |