| NPI | 1477347102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL RENE HICKS Owner 301-938-7310 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-06-20 |