| NPI | 1689729626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENIO CID Clinical Director 301-565-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 14957) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |