| NPI | 1598431629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA E KRAUSE Owner /Provider 240-422-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-09-08 |