| NPI | 1578992525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODYE L WATSON Behavioral Health Therapist 301-910-1976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 19349) |
| Enumeration Date | 2013-11-09 |
| Last Update Date | 2013-11-09 |