NPI | 1972096444 |
---|---|
Entity Type | Organization |
Authorized Contact | FELIX EGAN AYUK Owner 301-806-1491 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-06-11 |
Last Update Date | 2018-06-11 |