| NPI | 1437972924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED KOLAWOLE IBRAHIM CEO 240-246-7837 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |