| NPI | 1104046259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN BROOKMYER Health Officer 301-600-2509 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 6280) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2019-04-19 |