| NPI | 1093156614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONA MOON Proprietor 240-461-8956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 08496) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |