| NPI | 1952601080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE FISCHER Manager 301-299-2832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: DC 4517) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-12-03 |