| NPI | 1275839813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL V MATHIS Owner 240-678-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD D0051608) |
| Enumeration Date | 2011-01-30 |
| Last Update Date | 2011-01-30 |