| NPI | 1588685465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALLEN GIBIAN Co Owner 301-695-6455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-09-22 |