| NPI | 1538054606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINA ALVARADO Owner 240-200-4493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |