| NPI | 1326695073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M GAUTHIER CEO Executive Director 301-672-4319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |