| NPI | 1417928151 |
|---|---|
| Doing Business As | NORTH VILLAGE |
| Entity Type | Organization |
| Authorized Contact | JAMIE LEA BARKDOLL Cred Coordinator 301-733-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD 12391) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2018-10-01 |