| NPI | 1720624802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THALIA YVETTE BISHOP Owner/Managing Member 240-522-9139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2023-08-15 |