| NPI | 1194214999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE S KAMARA President/CEO 301-346-4687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261Q00000X Clinic/Center (Licence: BH000298) | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2019-04-12 |