| NPI | 1417630245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN PONTON Director Patient Acounts 301-237-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-09 |