| NPI | 1720848419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA AZUCENA CORTEZ Management 240-672-6758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2025-09-18 |