| NPI | 1104871946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY L HOLTZ Executive Director 301-791-3045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2025-05-19 |