| NPI | 1174281463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILDINE BURGESS Executive Administrator 240-350-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 261QP2300X Clinic/Center, Primary Care | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2021-12-03 |