NPI | 1669290581 |
---|---|
Entity Type | Organization |
Authorized Contact | BOSEDE M ADELEYE Provider 301-798-5583 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-09-30 |
Last Update Date | 2024-10-03 |