| NPI | 1366716326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORTIA MAILLARD-LAWS Director 301-503-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC4088) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |