| NPI | 1669161782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA COLEMAN Owner 301-202-4353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-09-28 |