| NPI | 1457531394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE D PARKS Director 301-306-6306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 1928) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |