| NPI | 1063923498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LOPES Owner/Therapist 240-388-7131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |