| NPI | 1083480602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WARD BRAVO Owner, Clinical Psychologist 301-233-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2026-03-05 |