| NPI | 1295243186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY B. SEICKE Owner 240-385-7599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD LC2324) |
| Enumeration Date | 2018-01-14 |
| Last Update Date | 2018-01-14 |