| NPI | 1023791258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GOODWIN Owner 301-471-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-07-03 |