| NPI | 1104388651 |
|---|---|
| Doing Business As | BARACK BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JENNIFER PARKER AYERS Principal 240-701-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |