| NPI | 1861229015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILLARY WANG Project Manager 301-213-6188 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 1041C0700X Social Worker Clinical | |
| 207Q00000X Family Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |