| NPI | 1356974323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD GRIGSBY CEO/Clinician 240-893-7296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2022-01-14 |