NPI | 1295597219 |
---|---|
Entity Type | Organization |
Authorized Contact | ERRON DAJUAN LATIMORE Lcpc 301-801-7006 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-01-25 |
Last Update Date | 2024-01-25 |