| NPI | 1861643595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY L POFFENBERGER Managed Care Coordinator 301-733-0331 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MD 00075) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2015-11-25 |