| NPI | 1689311730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL LOVETTE PETERSON Administrator 301-328-1528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 251B00000X Case Management | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2023-11-17 |