NPI | 1396530366 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA MARIE YOUNG Manager 301-821-1532 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 251E00000X Home Health |
253Z00000X In Home Supportive Care | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2025-04-10 |
Last Update Date | 2025-05-12 |