| NPI | 1821849035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE COAKLEY Owner/ Operator/ Employee 240-416-9527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |