| NPI | 1053800839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE S KAMARA President/CEO 301-346-4687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD BH000298) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MD BH000298) | |
| 251C00000X (Licence: MD BH000298) | |
| 251S00000X Community/Behavioral Health (Licence: MD BH000298) | |
| 252Y00000X Early Intervention Provider Agency (Licence: MD BH000298) | |
| 261Q00000X (Licence: MD BH000298) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD BH000298) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MD BH000298) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2019-04-11 |