NPI | 1649659442 |
---|---|
Entity Type | Organization |
Authorized Contact | LULA MOULTRIE HEATLEY Owner 240-273-8062 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 16665) |
Enumeration Date | 2015-05-26 |
Last Update Date | 2021-12-09 |