| NPI | 1417774886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLMAN EJERENWA Owner 301-536-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |