| NPI | 1376142513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MODUPE A. APASSA Owner/Provider 240-929-4521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-12-15 |