| NPI | 1760356539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHARLA JAMA Direct Support Professional 571-800-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-10-03 |