NPI | 1134642622 |
---|---|
Entity Type | Organization |
Authorized Contact | LATONIA LAFFITTE Resident Agent 301-485-5259 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DC PRC14938) |
Enumeration Date | 2017-07-17 |
Last Update Date | 2021-10-13 |