| NPI | 1134419294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA MEMBERG Director Of Finance 240-296-6333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 5053) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2023-04-27 |