| NPI | 1245853282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE RICAURTE Director 301-412-2067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2023-12-05 |