| NPI | 1083233035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLIN FORD Owner, CEO 301-526-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |