| NPI | 1639477565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRIC BARRY KLEINER President 301-652-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MD 00640) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |