| NPI | 1063119014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ARORA Resident Agent 301-717-8124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-02-09 |