| NPI | 1386169381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN G. ELCHIN Billing Director 301-662-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD BH000455) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2018-06-16 |