| NPI | 1902500598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBELECHUKWU ELOCHUKWU Executive Director 240-766-6823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center Community Health | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QR0400X Clinic/Center Rehabilitation | |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2024-12-30 |