| NPI | 1629792361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED ROSHAN Owner 301-675-9285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X | |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |