| NPI | 1114386125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY VAN PUTTEN-GARDNER President 301-317-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC4143) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |