| NPI | 1700241163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARITA R JOHNSON Owner/Sole Member 301-526-4159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 16210) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |