| NPI | 1922823665 |
|---|---|
| Doing Business As | WILLIE MOE'S PLACE |
| Entity Type | Organization |
| Authorized Contact | NZINGA LAWRENCE Owner/ Therapist 301-327-0431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |