| 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 |