| NPI | 1447709068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ELIZABETH NEVERSON Owner/Executive Director 301-461-7039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QP2300X Clinic/Center, Primary Care | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2025-04-18 |