| NPI | 1760838916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J MOODY Owner/Managing Director 240-273-3264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD LC5663) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |