| NPI | 1104361369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA AYBAR-TORRES Owner 240-750-7801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14376) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |