| NPI | 1023372539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA U BASSEY-AKAMUNE President 301-326-1351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 00374) |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: MD 00374) |
| 101YM0800X Counselor, Mental Health (Licence: MD 00451) | |
| 261Q00000X Clinic/Center (Licence: MD 00451) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2015-12-07 |