| NPI | 1316702202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE RENEE DIXON Cco 301-455-1776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |