| NPI | 1003216656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALPHONSO LEWIS Executive Director 301-577-4920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3460) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |