| NPI | 1407409477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVINDA KAMARA Nurse Practitioner 240-619-9180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2023-07-26 |