| NPI | 1124361985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE OJI Director 301-332-4348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 4791) |
| 101YP1600X Counselor, Pastoral | |
| 163WH0200X Registered Nurse, Home Health | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 1835P1300X Pharmacist, Psychiatric (Licence: TX 33415) | |
| 1835P1300X Pharmacist, Psychiatric (Licence: MD 18681) | |
| 1835P1300X Pharmacist, Psychiatric | |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2013-03-30 |