NPI | 1609365097 |
---|---|
Entity Type | Organization |
Authorized Contact | DESNEY BOWEN Owner/President 301-448-0818 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-05-01 |
Last Update Date | 2020-12-03 |