| NPI | 1194725739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OSTROWSKI Billing Supervisor 301-493-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2020-02-18 |