NPI | 1629847512 |
---|---|
Entity Type | Organization |
Authorized Contact | MATILDA CHE Provider 301-799-6221 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-12-20 |
Last Update Date | 2023-12-20 |