| NPI | 1992240410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGETTE L CHASE President, CEO 240-668-8823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DC PRC892) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: DC LMFT000124) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |