| NPI | 1427548569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEE SOPHIA BRY Owner 301-514-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD LCM570) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |