| NPI | 1629834213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A MELCHIONE Managing Owner 301-624-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-02-22 |