NPI | 1225787153 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAMIRAH NATARSHA JACKSON Program Administrator 240-600-0942 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2022-03-19 |
Last Update Date | 2022-03-19 |