| NPI | 1083239461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA BANKS GREENE Owner 240-304-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2021-06-01 |