| NPI | 1033156971 | 
|---|---|
| Doing Business As | N/A | 
| Entity Type | Organization | 
| Authorized Contact | DALE R WILLIAMS Licensed Clinical Professional Coun 301-627-0399  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LCO307)  | 
| Enumeration Date | 2006-05-31 | 
| Last Update Date | 2020-08-22 |