| NPI | 1326431826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR OKETOKUN Administrator 240-491-8218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: DC MD 038372) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-11-18 |