| NPI | 1700487816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARNEST LEE PUGH CEO 301-556-8665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QP0904X Clinic/Center, Public Health, Federal | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| 261QV0200X Clinic/Center, VA | |
| 286500000X Military Hospital | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |