| NPI | 1114606993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE S KAMARA President/CEO 301-346-4687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 252Y00000X Early Intervention Provider Agency | |
| 261Q00000X Clinic/Center | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |