| NPI | 1700696911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHINYERE MADUBUKO Administrator 240-334-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-11-11 |