| NPI | 1710694898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY WILLIAM MEADORS Owner 240-446-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2023-03-22 |