| 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 |