| NPI | 1093692220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAM KOURA OULA Administrator 240-481-6449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-12-03 |