| NPI | 1578194635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA PRICE Co Owner 240-299-5985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |