NPI | 1407517519 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA PEZZANITE Clinical Director 301-229-0063 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-01-02 |
Last Update Date | 2022-01-02 |