| NPI | 1003418989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SMALLEY Owner 301-388-6086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 102X00000X Poetry Therapist |
| 101YM0800X Counselor, Mental Health | |
| 103TC1900X Psychologist, Counseling | |
| 225600000X Dance Therapist | |
| 225A00000X Music Therapist | |
| Enumeration Date | 2020-11-15 |
| Last Update Date | 2020-11-15 |