| NPI | 1043516339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC R HURLEY Executive Director 301-423-1904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD LG50077952) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |