| NPI | 1285420711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BLAKE Owner And Clinical Director 301-503-6846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-21 |