NPI | 1790492270 |
---|---|
Entity Type | Organization |
Authorized Contact | REGINA EKONG Provider 240-602-7099 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-11-03 |
Last Update Date | 2022-11-03 |