| NPI | 1013327048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN Z RUNNELLS Owner/President 301-620-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WV 22951609) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |