NPI | 1932930179 |
---|---|
Entity Type | Organization |
Authorized Contact | CONSTANTINE LEWKO Owner 240-464-0517 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-08-09 |
Last Update Date | 2024-08-09 |