| NPI | 1023763349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARITY DZIEKETEY Clinical Director 301-364-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2024-09-16 |