| NPI | 1598347502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE LYNN Owner 240-476-7671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |