| NPI | 1316673874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILDINE BURGESS CEO 240-350-2863 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 261QP2300X Clinic/Center, Primary Care | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |