| NPI | 1356687917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA G. HANBERRY CEO 301-663-6135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC4545) |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2012-12-28 |