| NPI | 1023446002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILSA COAKLEY Owner 301-399-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD 03437) | |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2025-06-01 |