| NPI | 1669799474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E. ROUSE Clinical Nurse Specialist 301-938-1634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD R043705) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2016-02-09 |