| NPI | 1033846860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINI'IMAH WILSON Executive Director 240-583-0428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-10 |