| NPI | 1033995287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HABTAMU TECHANE TIGABU CEO 240-490-0176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 251B00000X Case Management | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2025-05-15 |