| NPI | 1730794934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE DOMINIQUE WATKINS Owner 240-388-1763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2023-03-06 |