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 |