NPI | 1508621772 |
---|---|
Entity Type | Organization |
Authorized Contact | GLADYS TOMBISE EKEMA MOSASO Provider/Owner 301-735-6036 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-02-16 |
Last Update Date | 2024-12-18 |