| NPI | 1639245830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY E EBB Co Director 301-978-9750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2012-07-25 |