| NPI | 1528404134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUMBINI BORA Cred Specialist 240-507-9831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2022-03-10 |