| NPI | 1861611576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R LANNON Executive Director 301-791-3045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 14365) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |