| NPI | 1942074141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEMATA KAMARA Executive Director 301-541-4734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2023-11-08 |