| NPI | 1770307746 |
|---|---|
| Doing Business As | PATRICIA'S PLACE INC |
| Entity Type | Organization |
| Authorized Contact | TIFFANI A WILSON CEO 301-979-7501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-14 |