| NPI | 1477005387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN MOLINA Ar Manager 301-572-6585 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 5559) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |