NPI | 1841027760 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN A ROBERTS Owner 240-848-1013 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2024-09-16 |
Last Update Date | 2024-09-30 |