| NPI | 1962355586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGON MINANG NDIFONGWA CEO 443-962-8970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-02-16 |
| Last Update Date | 2026-02-16 |