| NPI | 1962955328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD M. MCGLOIN Executive Director 301-373-3065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH-2000) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-10-13 |