| NPI | 1861983009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHDI EBRAHIMI BOROUMAND Member/Manager 301-377-4626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |