| NPI | 1154075331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIANNA SCOTT Owner 240-444-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |