| NPI | 1326815432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MICHAEL BARTH Executive Director 301-874-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2023-12-08 |