| NPI | 1659744266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN GERALDINE DAWKINS Owner 301-651-2921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 09930) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2024-05-10 |