| NPI | 1467962605 |
|---|---|
| Doing Business As | HEARTWOOD PROGRAM |
| Entity Type | Organization |
| Authorized Contact | KURT KOCHES Executive Director 301-970-4011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2023-03-14 |