NPI | 1871036194 |
---|---|
Other Name | DFAS |
Entity Type | Organization |
Authorized Contact | RACHEL ANNE BROUSSARD Pmhnp 301-633-9503 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD R190890) |
Enumeration Date | 2016-11-19 |
Last Update Date | 2016-11-19 |