| NPI | 1942786967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORA IVONNE TALAVERA Mental Health Therapist 301-704-5799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |