| NPI | 1639772452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN N ZAMA Owner 301-902-0664 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2023-04-24 |