| NPI | 1013427863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROWENA SIMMONS Executive Director 301-494-3564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21583) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: 25844) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |