| NPI | 1083005870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJONE LAUREN KREPPEL Founder/Director 301-651-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC6929) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2018-06-06 |