| NPI | 1144837980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SULE SALAKO CEO 301-725-5464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |