| NPI | 1477943108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HARE Administrator 301-334-7703 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 904847) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2024-08-20 |