| NPI | 1912672924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIRGIT LOCKLEAR Executive Director 301-373-3065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2022-06-08 |