| NPI | 1225643141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA BRANDYE BURNYCE ADAMS-RODRIGUEZ Owner & Operator 240-309-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |