NPI | 1174115760 |
---|---|
Entity Type | Organization |
Authorized Contact | JANUARY OCTAVIA LEVERE CEO 240-459-8423 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-02-05 |
Last Update Date | 2021-02-05 |