| NPI | 1548907520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHADA LEE Billing And Utilization Specialist 240-510-8562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2026-01-07 |