| NPI | 1811453020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JONES Administrator 301-881-7995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2021-04-09 |