| NPI | 1679155741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCA OKWUKOGU CEO 240-705-4527 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-04-27 |