| NPI | 1962272666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MOODY Chief Financial Officer 571-334-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-06-26 |