| NPI | 1902241250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY BASKINS CEO 301-541-0963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2019-09-10 |