| NPI | 1306096672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIGEL DAMIEN JACKSON Clinical Director 240-997-4929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DC LC50078330) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |