| NPI | 1952418279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENA GIBSON Executive Director 301-439-7191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 02951678) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: MD 02951678) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-02-08 |