| NPI | 1023271624 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CRAIG KNOLL Executive Director 301-754-1102  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 311309)  | 
| Enumeration Date | 2008-07-03 | 
| Last Update Date | 2008-07-03 |