| NPI | 1063970044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMESA A E LEWIS Professional Counselor 240-904-8593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2021-07-19 |