| NPI | 1346736626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO CANNON Medical Director 301-331-4313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MD D28907) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2019-08-07 |