| NPI | 1447139795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE ELVIRA TABI Provider 240-413-8399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-08-30 |
| Last Update Date | 2025-08-30 |