| NPI | 1982348165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN SIMMS Owner 301-980-4581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-25 |