| NPI | 1568719631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BINU ABRAHAM Clinical Social Worker/Therapist 301-503-6623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MD D14745079) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |