| NPI | 1144999277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUMLI ANYE Psych/Mental Health Nurse Practitio 240-603-1253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-11 |
| Last Update Date | 2021-09-11 |