NPI | 1902275449 |
---|---|
Entity Type | Organization |
Authorized Contact | CLIFFORD E FIELDS Chief Executive Officer 240-788-6125 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD 1639) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MD 1639) |
Enumeration Date | 2015-09-15 |
Last Update Date | 2021-08-06 |