| NPI | 1225218894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATEEKA D SCOTT Owner 301-257-0894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC2129) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-12 |