| NPI | 1174995781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN ZECHA CFO 301-896-4262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD 2003) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2016-06-21 |