| NPI | 1003471343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY THOMPSON Owner/Solo Practitioner 301-351-7641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |