| NPI | 1487058517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY A MCCREARY Administrator 240-550-2514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD SC1761) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2019-01-29 |