| NPI | 1982195400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADISA ALGHALI Owner 240-394-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37PC00514200) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-10-05 |