NPI | 1043038219 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES EDMUNDS Owner 301-421-4241 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
103TA0400X Psychologist Addiction (Substance Use Disorder) | |
104100000X Social Worker | |
1041C0700X Social Worker Clinical | |
106H00000X Marriage & Family Therapist | |
163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent | |
163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
261QR0400X Clinic/Center Rehabilitation | |
261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2024-09-27 |
Last Update Date | 2024-09-27 |