| NPI | 1851763494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN ZECHA CFO 301-896-4262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH-2205) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2017-01-30 |