| NPI | 1386155968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOLADALE WURAOLA ADEGOROYE Clinical Director 240-481-9962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |