NPI | 1730809732 |
---|---|
Entity Type | Organization |
Authorized Contact | TEKORA NICHOLS Clinical Manager 240-370-9479 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-08-30 |
Last Update Date | 2022-08-30 |