| NPI | 1255842001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN NICOLE GILLOM-CARTER Owner/ CEO 240-412-7039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2022-12-22 |