| NPI | 1477295061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIAN UZOUKWU Director 240-383-2556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-11-18 |