| NPI | 1932328507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY L HOLTZ Executive Director 301-791-3045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 12345) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2025-05-19 |