| NPI | 1053071472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA HAILEY-GRANDERSON Assistant Director 301-646-6837 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2021-12-27 |