| NPI | 1720843329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ARCHIE Director Of Program Development 301-673-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-02-14 |