| NPI | 1518552868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACIE QUARLES Therapist 240-712-4199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2022-01-17 |