| NPI | 1629715107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN GUY ELCHIN Billing Director 240-608-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-09-12 |