NPI | 1043004575 |
---|---|
Entity Type | Organization |
Authorized Contact | QUIZZINA FORNEY Owner 301-571-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-04-08 |
Last Update Date | 2025-05-29 |