| NPI | 1053038562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER MABRY CEO/Clinical Director 240-685-1940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |