| NPI | 1528714649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHIAS C BAMA Owner 301-483-3333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-03-10 |