| NPI | 1245070796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE PETERS Behavioral Health Consultant 571-643-6170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |