| NPI | 1033600176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALYNCIA N GRAHAM Owner 301-821-6507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2019-12-19 |