| NPI | 1255379947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG S. KNOLL Executive Director/CEO 301-754-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD 8520) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD 8521) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |