| NPI | 1104090158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE W HOWDEN CFO 301-779-8345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD 690504800) |
| Enumeration Date | 2008-04-19 |
| Last Update Date | 2008-04-19 |