| NPI | 1124994116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CARSON CEO 240-380-7543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |