NPI | 1548390990 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY WILSON Director 301-670-6161 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LCA461) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2014-05-12 |