| NPI | 1518319201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO CONLIFFE Therapist 240-319-3917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LGP6839) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |