NPI | 1124567284 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA COOPER President 571-288-3314 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 906454) |
Enumeration Date | 2017-02-21 |
Last Update Date | 2024-05-03 |