NPI | 1881289635 |
---|---|
Entity Type | Organization |
Authorized Contact | KELVINDA KAMARA C0 Owner 240-619-9180 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
207Q00000X Family Medicine | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2021-03-03 |
Last Update Date | 2021-03-03 |