| NPI | 1043762941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE MILLIGAN Owner 240-893-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: DC LC50078113) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD 21583) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: DC LC50078113) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MD 21583) | |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |