| NPI | 1922436146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEB BISENIEKS Administrative Director 301-605-1547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 19404) |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2013-10-25 |