| NPI | 1326096751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HARE Administrator 301-334-7703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-08-20 |