| NPI | 1235861931 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | ADELEKE YUSUF Manager 301-633-1676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-06-30 |