| NPI | 1013501618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET J NTUNGWEN Owner/ Authorized Offical 240-374-8705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-04-06 |