| NPI | 1003147505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY CROMARTIE CEO 301-455-7872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC3403) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC1655) |
| 1041C0700X Social Worker, Clinical (Licence: MD 15169) | |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2012-03-09 |