| NPI | 1083007983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY A ELLIS-GEORGE Practice Manager 240-903-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2019-10-26 |