| NPI | 1265943781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH DIBONGE Owner 240-506-1728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH-2371) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2018-06-16 |