| NPI | 1982397550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEENAKSHI GARG BREWSTER Health Officer 301-475-4317 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-06-05 |