| NPI | 1437986395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY P DEINLEIN Owner/Operater/Manager 301-531-4690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2025-02-08 |