| NPI | 1538875034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRAN LINFORD Senior Provider Network Analyst 301-315-3826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-27 |