NPI | 1912764192 |
---|---|
Entity Type | Organization |
Authorized Contact | MESAY GEBRESILASSIE Provider 240-261-7099 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-03-04 |
Last Update Date | 2024-03-04 |