| NPI | 1932867041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG WHITE Managing Partner 301-383-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center Community Health | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 305S00000X Point of Service | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-06 |