| NPI | 1033400635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODIS MCKINZIE Mental Health Counselor 240-601-5272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MHC242) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |