| NPI | 1396550208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAINDU LEEMU MANSARAY-SMITH Psychiatry Nurse Practitioner 240-441-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2025-02-08 |
| Last Update Date | 2025-06-20 |