| NPI | 1043051733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLINS SCOTT Owner 301-281-3831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |