| NPI | 1023409273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J. SHUMACHER Owner 240-683-5331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2024-02-07 |