| NPI | 1700473659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY R WOODARD Principal Member 301-417-5506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-27 |
| Last Update Date | 2020-12-27 |