| NPI | 1578036521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALPHONSO LEWIS Owner 301-613-7479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |