| NPI | 1225700115 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | VICTORIA AKPAN Program Director 301-741-7847  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health | 
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation | 
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2021-09-29 | 
| Last Update Date | 2021-10-27 |