| NPI | 1427815539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIAN ONWULATA Provider 240-460-2688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |