| NPI | 1902386618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OUMAR HILL CEO 301-220-2842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: MD BH001117) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD BH001117) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-09-08 |