| NPI | 1023446002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILSA COAKLEY Owner 301-399-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD 03437) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-11-22 |