| NPI | 1295194371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLIE MCCLEAF CEO 301-840-3267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MD 588881600) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2017-01-31 |