| NPI | 1093750697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUKE TADESSE Executive Director 301-779-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist Group Psychotherapy (Licence: MD LC0295) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-12-07 |