NPI | 1730824756 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHANESE SANDY Provider 240-508-3363 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-05-03 |
Last Update Date | 2022-05-03 |