| NPI | 1588129738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHISA HARRIS CEO 301-233-7221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |