| NPI | 1134591985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN ZECHA CFO 301-896-4262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD MH-2204) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2017-01-30 |