| NPI | 1952785933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN PAUL OSTERHOUT Owner 240-351-1304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 09238) |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2015-07-19 |