| NPI | 1861720724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLA DAVIS Owner 301-731-0383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2009-12-04 |