| NPI | 1093039182 |
|---|---|
| Former Legal Business Name | FAMILY SERVICE OF PRINCE GEORGES COUNTY, INC |
| Entity Type | Organization |
| Authorized Contact | DAPHNE SMITH Billing Manager 301-459-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist Rehabilitation (Licence: MD 4163) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2012-09-19 |