| NPI | 1265272710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS ONYIMA Provider 240-461-4873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |