| NPI | 1336614536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MARIE GEYER Program Diector 240-575-1324 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |