NPI | 1053010520 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIA RASNAKE Owner 240-614-2595 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-02-23 |
Last Update Date | 2023-04-30 |