| NPI | 1689105447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MCNULTY Owner 301-717-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |