| NPI | 1700377090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE S KAMARA President/CEO 301-346-4687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation |
| Additional Taxonomies | 261QM0801X |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2019-04-11 |