| NPI | 1639561384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL VINCENT MATHIS Partner 240-678-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2018-06-29 |