| NPI | 1558819672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK MCKENZIE Director 240-423-2469 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1791-01) |
| Enumeration Date | 2016-09-18 |
| Last Update Date | 2019-10-28 |