NPI | 1467905166 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSE CORETTA MERCHANT President 240-605-2882 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
314000000X Skilled Nursing Facility | |
Enumeration Date | 2016-07-28 |
Last Update Date | 2019-12-06 |